Executive Editor: Edward Ellis III, Kazuo Shimozato General Editor: Daniel Buchbinder

Authors: Carl-Peter Cornelius, Nils Gellrich, Søren Hillerup, Kenji Kusumoto, Warren Schubert

Midface - Palatoalveolar, simple injury

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Glossary

General considerations

This is a rare isolated fracture pattern. It mostly occurs in combination with other midfacial or panfacial fractures. Left untreated can lead to malocclusions and widened maxilla.

Observation
Main indication Skill Equipment
Non- or minimally displaced fractures in a compliant patient with good occlusion. Basic surgical experience, no specialized skills Basic equipment only

Note: this situation is fairly uncommon.

Closed treatment
Main indication Skill Equipment
Non- or minimally displaced fractures in a compliant patient amenable to MMF. Basic surgical experience, no specialized skills Basic equipment only
Open reduction internal fixation
Main indication Skill Equipment
When MMF alone is unable to prevent splaying of the segments and a palatal splint is not available. Some specialized surgical experience Simple surgical and imaging resources
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v1.0 2009-12-03